Laser surgery in management of rhino-larynogoscleroma

ABSTRACT

Scleroma is a real problem facing both the otorhinolaryngologist and his patient. CO2 laser was used for management of 32 patients with rhino and/or laryngoscleroma. Also, a comparative study was done between laser and conventional nasal surgery. Patients were followed up by photographs, clinically, and histopathologically up to one year. 12 patients needed resurgery. It was found that there was no significant differences between the results obtained after laser or conventional rhinological surgery. By laser surgery the granulomatous lesions showed more recurrence than fibrotic lesions. There was also no great differences between results obtained from clinical and histopathological follow up. Finally, laser surgery constitutes an excellent surgical tool due to its many advantages